16th NYSORA Symposium in NYC

Category

Nerve Stimulator and Surface Based RA Techniques

Oral and Maxillofacial Regional Anesthesia

Head and Neck Blocks

Authors: Benaifer D. Dubash, DMD; Adam T. Hershkin, DMD; Paul J. Seider, DMD; Gregory M. Casey, DMD Affiliation: St. Luke’s-Roosevelt Hospital Center, Department of Oral and Maxillofacial Surgery Oral surgical and dental procedures are routinely performed in an outpatient setting….

Interscalene Brachial Plexus Block

Upper Extermity

Figure 1: Needle insertion for interscalene brachial plexus block. The needle is inserted between palpating fingers that are positioned in the scalene groove (between anterior and middle scalene muscles). 1 = sternal head of the sternocleidomastoid muscle. 2 = clavicular…

Cervical Plexus Block

Upper Extermity

Figure 1: Needle insertion for superficial cervical plexus block. The needle is inserted behind the posterior border of the sternocleidomastoid muscle. Essentials Indications: carotid endarterectomy, superficial neck surgery Landmarks: mastoid process, sternocleidomastoid muscle, C6 transverse process Equipment, superficial: 1½-in, 25-gauge…

Ankle Block

Lower Extermity

Figure 1: Needle insertion for saphenous nerve block of the ankle. Essentials Indications: surgery of the foot and toes Two deep nerves: posterior tibial, deep peroneal Three superficial nerves: superficial peroneal, sural, saphenous Local anesthetic: 5-6 mL per nerve General…

Femoral Nerve Block

Lower Extermity

Figure 1: Needle insertion for femoral nerve block. Essentials Indications: surgery of the anterior thigh and knee surgery Landmarks: femoral (inguinal) crease, femoral artery pulse Nerve stimulation: twitch of the patella (quadriceps) at 0.2-0.5 mA Local anesthetic: 15-20 mL Figure…

Wrist Block

General, Upper Extermity

A B Figure 1: (A) Technique to accomplish a wrist block. (B) Median nerve block. Needle is inserted medial or lateral to the flexor palmaris longus tendon and carefully advanced to avoid paresthesia. Then 5 mL of local anesthetic is…

Infraclavicular Brachial Plexus Block

Upper Extermity

Figure 1: Patient position and needle insertion for infraclavicular brachial plexus block. Essentials Indications: elbow, forearm, hand surgery Landmarks: medial clavicular head, coracoid process Nerve stimulation: hand twitch at 0.2-0.5 mA Local anesthetic: 25-35 mL General Considerations The infraclavicular block…

Supraclavicular Brachial Plexus Block

Upper Extermity

Figure 1: Insertion of the needle in the supraclavicular brachial plexus block. The needle is inserted lateral to the insertion of the clavicular head of the sternocleidomastoid muscle. Essentials Indications: upper extremity surgery (arm, elbow, forearm, wrist, hand) Landmarks: the…

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